Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $162.18 / $398.11	Facility		$33.11	$162.18	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $181.97	Professional		$30.90	$42.66	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $32.36	Professional		$23.44	$28.18	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $109.65 / $234.42	Facility		$26.92	$109.65	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $109.65	Professional		$23.44	$39.81	$109.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $131.83 / $630.96	Facility		$60.26	$131.83	$630.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $134.90	Professional		$37.15	$53.70	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $79.43 / $173.78	Facility		$31.62	$79.43	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $77.62	Professional		$28.18	$46.77	$77.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $75.86	Professional		$41.69	$46.77	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $102.33	Professional		$37.15	$46.77	$102.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $89.13	Professional		$39.81	$42.66	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $56.23	Professional		$28.18	$56.23	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $56.23 / $134.90	Facility		$38.90	$56.23	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $107.15	Professional		$28.18	$43.65	$107.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $79.43	Professional		$37.15	$47.86	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.18 / $46.77	Facility		$21.38	$28.18	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $93.33	Professional		$19.95	$28.18	$93.33